Search Results (159)

Background: Rigorous evaluation of vacuum blood collection tubes is essential to ensure the reliability of laboratory results. Methods: In this study, we compared the serum separator tube V-Tube™ (V-Tube SST), the quick-clotting serum separator tube VQ-Tube™ (VQ-Tube SST), and the K₂EDTA V-Tube™ (V-Tube K₂EDTA) manufactured by AB Medical (Seoul, Republic of Korea), with their respective counterparts from Becton Dickinson (BD, Franklin Lakes, NJ, USA): BD Vacutainer^® SST™ II Advance Tube (BD SST) and BD Vacutainer^® K₂EDTA 5.4 mg Tube (BD K₂EDTA). The evaluation encompassed 61 measurands across the fields of chemistry, immunology, and hematology, and incorporated a stability assessment for the VQ-Tube SST. Results: The V-Tube SST, VQ-Tube SST, and V-Tube K₂EDTA demonstrated comparable analytical performance to the BD tubes for the majority of measurands. However, glucose, lactate dehydrogenase, mean corpuscular volume, and mean corpuscular hemoglobin concentration indicated clinically significant differences according to the desirable biological variation database (Ricos). Conclusions: These findings suggest that, while the V-tube and VQ-tube SST generally serve as alternatives to BD tubes, caution should be taken when interpreting results for specific measurands that demonstrated clinically significant discrepancies. Full article

Background and Objectives: Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder with diverse subtypes. Recent evidence has suggested a link between vitamin D deficiency and IBS; however, the associations between vitamin D levels, IBS subtypes, and hematological–biochemical parameters remain unclear. The aim of this research was to investigate the associations between vitamin D status, IBS subtypes, and sex, along with their relationships with biochemical and hematological parameters. Materials and Methods: This retrospective study included 240 patients diagnosed with IBS according to the Rome IV criteria at Van Yüzüncü Yıl University Medical Faculty Hospital. The patients were classified as diarrhea-predominant (IBS-D), constipation-predominant (IBS-C), or mixed-type (IBS-M). The patients’ serum vitamin D levels and hematological (hemoglobin, white blood cell and platelet counts, and mean corpuscular volume) and biochemical (ferritin, iron, calcium, magnesium, and vitamin B12 levels) parameters were evaluated at baseline and after vitamin D supplementation. Sex-related differences were assessed. Results: Baseline vitamin D levels were low in all IBS subtypes, with no significant differences between the groups. Vitamin D supplementation resulted in a significant increase in serum vitamin D levels across all subtypes (p = 0.001). No significant correlations were identified between vitamin D levels and hematological or biochemical parameters. Sex differences in vitamin D levels were only significant in the IBS-M group, both at baseline and post-treatment (p < 0.05). Conclusions: Vitamin D deficiency is prevalent among all IBS subtypes and significantly improves with supplementation, independently of the subtype. Although no associations were found between vitamin D levels and laboratory parameters, the observed sex differences in patients with IBS-M highlight the need for further research into potential sex-related pathophysiological mechanisms. These findings support the integration of routine vitamin D assessment and supplementation into the clinical management of IBS, especially in patients with the IBS-M subtype and female sex, to potentially improve patient outcomes. Full article

Objectives: The present study aimed to determine the reference intervals for complete blood count and total protein parameters in Greek indigenous Capra prisca goats and to evaluate their associations with parasitic burden, age and reproductive stage. Methods: Two-hundred clinically health goats were grouped by parasite status (gastrointestinal nematodes, Eimeria spp., and lungworm infection), age (3–6-month-old growing kids; lactating non-pregnant goats ≤ 3 or >3 years old) and reproductive stage (non-lactating pregnant goats; lactating non-pregnant goats). Blood samples were analyzed for erythrogram, leukogram and megakaryocytic parameters using an automated analyzer and manual blood smears. Total plasma proteins were measured using refractometry. Results: Gastrointestinal nematode-infected animals (>300 eggs per gram of feces) were associated with a significant reduction in red blood cell counts and hematocrit estimation, and an increase in mean corpuscular hemoglobin and mean corpuscular hemoglobin concentrations, while lungworm-infected animals were associated with decreased red blood cells, red cell distribution width and neutrophils, and increased lymphocytes compared to non-infected animals. Eimeria spp. affected only basophils in growing kids. Age influenced all erythrocytic and leukocytic parameters (apart from neutrophils and monocytes), as well as all megakaryocytic parameters and total proteins, with younger animals showing higher red and white blood cell counts and platelets compared to adults. Pregnant does had elevated hemoglobin, hematocrit, neutrophils and monocytes compared with lactating non-pregnant does. Conclusions: The calculated 95% reference intervals for our demographic groups of animals provide a useful diagnostic framework for assessing Capra prisca health in Greek goat farming. Full article

(1) Background: We combined physiological and morphological data of the European rabbit (Oryctolagus cuniculus) to provide insights into the question of how urbanization affects the health of urban wildlife populations. (2) Methods: We dissected 39 urban and 34 rural wild rabbits in order to compare organ weights, as well as stomach contents. Furthermore, we collected blood and fecal samples. (3) Results: Rural rabbits had a significantly longer body and a higher body weight as well as more fat tissue around their kidneys compared to urban rabbits. In contrast, the stomach, the intestines, the liver, the lung, and the brain of urban rabbits were significantly heavier. The amount of hematocrit, hemoglobin, and the mean corpuscular volume was significantly higher in urban rabbits. The caloric energy content of the stomach was comparable between rural and urban rabbits and was merely influenced by the season being higher in autumn. Rural rabbits had an overall higher mean parasite index compared to urban rabbits. (4) Conclusions: The results of our study allow for a deeper understanding of how density-dependent (e.g., transmission of diseases) and density-independent factors (e.g., food quality) influence the health status and life history traits of urban wildlife populations compared to their rural counterparts. Full article

Starry flounder (Platichthys stellatus) (weight 96.42 ± 19.17 g, length 20.65 ± 1.04 cm) were exposed to waterborne copper at 0, 0.5, 1, 3, 6, 12, 24, and 48 mg Cu²⁺/L for 96 h. The lethal concentration 50 (LC₅₀) of the P. stellatus exposed to waterborne copper was 15.644 mg Cu²⁺/L. Hemoglobin, hematocrit, and RBC count were significantly decreased by waterborne copper exposure. MCV (mean corpuscular volume) (µL) and MCHC (mean corpuscular hemoglobin concentration) (%) were also significantly decreased. The inorganic components, plasma calcium, and plasma magnesium were significantly increased. The organic components, such as plasma glucose, were significantly increased. In enzymatic components, the AST and ALT were also significantly increased by copper exposure. The results of this study indicate that exposure to copper may have effects on the survival rates and hematological parameters of the P. stellatus. Full article

This trial aimed to investigate the effects of compound essential oils (EO) on the fattening performance, blood physiological–biochemical indices, and intestinal microbiota in late-fattening Simmental crossbred bulls. Twenty healthy Simmental crossbred bulls (Simmental × Charolais × Angus) with similar initial body weights of 442 (±72.49) kg were randomly divided into two groups: a control group (basal diet, CON group) and a compound essential oil group (basal diet + 16 g/head/day, EO group). The trial included a 14-day pre-feeding period and a 42-day experimental period, totaling 56 days. The results showed the following: (1) The EO group exhibited a significantly higher average daily gain (ADG), immunoglobulin A (IgA), immunoglobulin G (IgG), total superoxide dismutase (T-SOD), glutathione peroxidase (GSH-PX), glucose (GLU), dopamine (DA), basophil count (Baso), mean corpuscular hemoglobin (MCH), and platelet distribution width (PDW) compared to the CON group (p < 0.05), while the mean corpuscular volume (MCV) was significantly lower (p < 0.05). (2) Although the compound essential oil supplementation did not alter the relative abundance of major intestinal microbial taxa, it significantly improved the intestinal microbiota structure (p < 0.05), increased fiberdegrading microbiota, and promoted short-chain fatty acid production. (3) The relative abundance of the intestinal microbiota norank_f__UCG-010 showed significant positive correlations with ADG, GSH-PX, IgG, DA, T-SOD, GLU, IgA, and Baso (p < 0.05), while Christensenellaceae_R-7_group abundance was positively correlated with ADG, IgA, and Baso (p < 0.05). In conclusion, the compound essential oil enhances healthy and efficient fattening in beef cattle by improving the intestinal microbial structure, increasing beneficial bacteria, regulating the nutrient metabolism through key bacterial genera, and enhancing the immune function, antioxidant capacity, and energy metabolism levels. Full article

Background/Objectives: Red blood cell (RBC) parameters are routinely used to screen for α- and β-thalassemia traits as part of prenatal diagnosis for severe fetal thalassemia in countries with a high prevalence of the disease. In clinical practice, the same cut-off values for these parameters are applied to both females and males. However, given that the normal reference ranges for some RBC parameters differ significantly between sexes, sex-specific cut-off values may be more appropriate, especially in combination. To date, the effectiveness of RBC indices in males for predicting α- and β-thalassemia traits has not been evaluated. The objectives of this study are to assess the diagnostic performance of individual and combined RBC parameters in detecting α⁰-thalassemia traits among non-anemic males. Methods: This diagnostic study is a secondary analysis of prospectively collected data from our project on prenatal control of severe thalassemia. The study population comprised male partners of pregnant women who underwent thalassemia screening during their first antenatal visit. RBC parameters, including hemoglobin (Hb), hematocrit (Hct), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), red cell distribution width (RDW), and RBC count, were measured for each participant. Carrier status for the α0-thalassemia Southeast Asian (SEA) genotype was confirmed by using a polymerase chain reaction (PCR)-based method. The diagnostic performance of each RBC parameter and their combinations, based on predictive models generated using logistic regression, was evaluated and compared using receiver operating characteristic (ROC) curves. Results: A total of 486 Thai males were recruited for the study, including 137 individuals with the α⁰-thalassemia trait and 349 with a normal α-thalassemia genotype (control group). All RBC parameters, except for Hct, differed significantly between the two groups. Among the individual indices, MCH exhibited the highest diagnostic accuracy, followed by MCV, with areas under the curve (AUCs) of 0.981 and 0.973, respectively. An MCH cut-off value of 26 pg and an MCV cut-off value of 80 fL provided a sensitivity of 100% for both indices, with specificities of 88.5% and 86.8%, respectively. The combination predictive model provided the best diagnostic performance, achieving an AUC of 0.987, which was slightly but significantly higher than that of any individual parameter. This model yielded a sensitivity of 100% and a significantly higher specificity of 90.8% at a cut-off probability of 7.0%. Conclusions: MCH and MCV demonstrated excellent screening performance for identifying α0-thalassemia carriers in males. However, the combination model exhibited even greater accuracy while reducing the false-positive rate. Implementing this model could minimize the need for unnecessary PCR testing, leading to substantial cost savings. Full article

Feed is the single greatest cost for cattle producers. Improvements to feed efficiency, or how animals convert feed to body weight gain, will ultimately improve producer profits. The objective of this study was to determine whether the expression of genes in the transcriptome of whole blood from heifers (n = 61) on a forage ration was related to the quantitative phenotypes for average daily gain (ADG), average daily feed intake (ADFI), and gain-to-feed (G:F). Total RNA was isolated from whole blood collected mid-study on day 42 on feed and was used for hematologic analysis and RNA-sequencing. Lymphocyte (LYM) count was negatively associated with ADG, and mean corpuscular hemoglobin concentration (MCHC) was positively associated (p < 0.05). Red blood cell (RBC) count was negatively associated with ADFI. While MCHC was positively associated with G:F, white blood cell (WBC), LYM, and basophil (BAS) counts were negatively associated with G:F (p ≤ 0.05). The model used to identify differentially expressed genes (DEG) for ADFI, ADG, and G:F included sire, breed, pen, age, and proportions of blood cell types. No genes were differentially expressed for ADFI. Three genes were identified as differentially expressed for ADG, and 17 were identified for G:F. Three of the differentially expressed genes for G:F and ADG (PLOD1, FAH, and COL1A2) had been previously associated with feed efficiency in livestock and may be useful for further validation in other populations of cattle. The negative associations between WBC and LYM and ADG and G:F may be expected since the production of WBC is an energetic process that may reduce body weight gain and efficiency. The associations between RBC hematological parameters suggest that there may be benefit for animals with higher levels of hemoglobin per RBC by improving oxygen-carrying capacity. Full article

A study was conducted to assess the efficacy of prebiotic and herbal supplements to relieve transportation stress based on changes in physiological, hematological, and molecular responses in Kenguri sheep. Thirty healthy female sheep were randomly divided into three groups: a control group (CKS) with no supplementation, a prebiotic supplementation group (PKS), and an herbal supplementation group (HKS). The animals were transported 230 km over seven hours during summer conditions, with temperatures ranging from 32.5 °C to 34.9 °C. The groups that received the prebiotic (75.6 breaths/min; 64.8 beats/min) and herbal supplementation (31.0 breaths/min; 66.8 beats/min) had a significantly reduced respiration rate (RR) and pulse rate (PR) compared to those of the control group (38.7 breaths/min; 75.6 beats/min) (p < 0.01 and p < 0.05, respectively), indicating improved physiological stability. The hemoglobin (HGB) and hematocrit (HCT) levels were also significantly lower in the PKS (24.2 g/dL; 24.8%) and HKS (24.7 g/dL; 24.5%) groups than in the CKS (28.1 g/dL; 24.9%) (p < 0.05), highlighting the mitigation of hematological stress. Further, the plasma glucose level was significantly higher (p < 0.01) in the HKS group (80.0 mg/dL) compared to the CKS group (63.5 mg/dL). However, rectal temperature (RT) and skin temperature (ST), red blood cells (RBCs), mean corpuscular volume (MCV), and white blood cells (WBCs) showed no significant differences among the groups. These findings demonstrate that prebiotic and herbal supplementation can effectively reduce transportation-induced stress in Kenguri sheep, offering a practical strategy to improve the welfare and resilience of livestock under challenging environmental conditions. Full article

Background: CDK 4/6 inhibitors (CDK4/6is) are the first-line treatment for metastatic luminal-like breast cancer (BC). These drugs induce macrocytosis without anemia in most patients. The mechanism for the red blood cell (RBC) changes is unknown. In vitro and animal studies show that RBCs from CDK6-knockout mice have increased membrane fragility, but the clinical impact of CDK4/6is on human RBC lifespan is not known. We sought to determine the impact of CDK4/6is on RBC lifespan and detect changes in the regulation of hemoglobin production. Using the mean corpuscular volume (MCV) measurements at several time points, we can study the evolution of MCV, mean corpuscular hemoglobin concentration (MCHC), and RBC count over time. From this, one can estimate the RBC lifespan under CDK4/6is. Methods: We performed a unicentric retrospective study. Based on published models of RBC population dynamics, we have coded a biologically inspired model which allowed us to extract values for biological parameters, including the RBC lifespan. Results: A total of 122 patients were identified, and 1959 laboratory measurements were analyzed. After the pre-treatment RBCs were replaced, the mean MCV increased by 12.6 femtoliter (fL) (95% Bayesian credible interval [CdI] 13–14), the MCHC increased slightly by 0.69 g/dL (95% CdI 0.42–0.96), and the RBC count decreased by 0.77 × 10⁹/L (95% CdI 0.42 × 10⁹/L–0.96 × 10⁹/L). The net result was a 0.64 g/dL (95% CdI 0.48–0.80) rise in hemoglobin. The mean total RBC lifetime was 118 days (95% CdI 114–122), similar to the value measured in healthy persons. Discussion and Conclusions: These findings suggest that, despite changes in RBC volume, CDK4/6is do not predispose patients to RBC destruction and do not impair regulation of hemoglobin homeostasis. We show that CDK4/6is do not decrease the RBC lifespan in pre-treatment erythrocytes. Unfortunately, this method cannot determine the lifespan of post-treatment RBCs, but further research could help answer this question. Full article

Background: Although white blood cell-related indices are established prognostic markers in lung cancer, the prognostic significance of red blood cell (RBC) indices—mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC)—remains unclear. This study assessed the prognostic value of RBC indices for predicting survival outcomes in patients who underwent curative-intent surgery for stage I–IIIA non-small cell lung cancer (NSCLC). Methods: This retrospective analysis of 437 patients evaluated the prognostic significance of MCV, MCH, MCHC, and the modified Shine and Lal Index (mSLI), calculated as (MCV² × MCH) × 0.0001, using Cox regression analysis. Model performance was evaluated using various metrics, including the concordance index (C-index) and integrated discrimination improvement (IDI). Results: In the multivariate Cox regression analysis, each RBC index was tested separately as an overall survival (OS) predictor in models that consistently included age, American Society of Anesthesiologists Physical Status (ASA-PS), pleural invasion, tumor–node–metastasis (TNM) stage, and the Noble and Underwood (NUn) score. Given its superior predictive performance, the mSLI model, which incorporates mSLI in addition to other covariates, was finalized and outperformed the baseline TNM staging model (C-index: 0.840 vs. 0.708, p < 0.001) and demonstrated significant improvements in IDI at 3 and 5 years (p < 0.001). Compared to the intermediate model—comprising the same covariates as the mSLI model except for mSLI—the mSLI model showed a slightly higher C-index (0.840 vs. 0.835, p = 0.554) and significant improvements in IDI at 3 years (p = 0.008) and 5 years (p = 0.020). Conclusions: mSLI was an independent prognostic marker for OS in stage I–IIIA NSCLC, enhancing risk stratification and providing incremental predictive value beyond that of traditional models. Incorporating mSLI into prognostic frameworks may improve clinical decision-making. However, external validation is required to confirm its clinical utility. Full article

The effects of different stocking densities on the growth and physiology of juvenile Piaractus brachypomus were evaluated in two experiments. Experiment I used juveniles weighing 1.5 ± 0.4 g at the following densities for 20 days: D_0.68—0.68 kg/m³; D_1.45—1.45 kg/m³; D_4.41—4.41 kg/m³; and D_7.17—7.17 kg/m³. Experiment II used juveniles weighing 6.66 ± 1.3 g at the following densities for 20 days: D_1.0—1.00 kg/m³; D_1.95—1.95 kg/m³; D_5.63—5.63 kg/m³, and D_7.90—7.90 kg/m³. Both experiments showed a reduction in dissolved oxygen levels in the water, with Experiment II showing a plateau effect from 2.34 kg/m³ (p < 0.05). Final weight, final length, weight gain, daily weight gain, and specific growth rate were inversely proportional to density (p < 0.05), while final biomass, feed intake, and feed conversion were directly related to density in both experiments (p < 0.05). At the end of Experiment II, plasma triglycerides decreased as stocking density increased (p < 0.05), and hemoglobin and mean corpuscular volume were higher at the lowest density (D_1.0) (p < 0.05). High stocking densities reduced dissolved oxygen, characterizing a hypoxic state in both experiments, affecting growth and some physiological parameters. Therefore, studies testing stocking densities for P. brachypomus in normoxic situations are still needed. Full article

Background: Since postoperative complications after gastrectomy for gastric cancer are associated with poor clinical outcomes, it is important to predict and prepare for the occurrence of complications preoperatively. Conventional models for predicting complications have limitations, prompting interest in machine learning algorithms. Machine learning models have a superior ability to identify complex interactions among variables and nonlinear relationships, potentially revealing new risk factors. This study aimed to explore previously overlooked risk factors for postoperative complications and compare machine learning models with linear regression. Materials and Methods: We retrospectively reviewed data from 865 patients who underwent gastrectomy for gastric cancer from 2018 to 2022. A total of 85 variables, including demographics, clinical features, laboratory values, intraoperative parameters, and pathologic results, were used to conduct the machine learning model. The dataset was partitioned into 80% for training and 20% for validation. To identify the most accurate prediction model, missing data handling, variable selection, and hyperparameter tuning were performed. Results: Machine learning models performed notably well when using the backward elimination method and a moderate missing data strategy, achieving the highest area under the curve values (0.744). A total of 15 variables associated with postoperative complications were identified using a machine learning algorithm. Operation time was the most impactful variable, followed closely by pre-operative levels of albumin and mean corpuscular hemoglobin. Machine learning models, especially Random Forest and XGBoost, outperformed linear regression. Conclusions: Machine learning, coupled with advanced variable selection techniques, showed promise in enhancing risk prediction of postoperative complications for gastric cancer surgery. Full article

While cigarette smoking has declined, e-cigarette use among young adults has increased in the USA. This cross-sectional study compared complete blood counts, C-reactive protein, and select blood metals (lead, cadmium, mercury, selenium, manganese) among exclusive combustible tobacco users, exclusive e-cigarette users, and non-users using NHANES data from 2013–2023 in the USA. The goal of this study was to compare biomarker data from e-cigarette users and combustible tobacco users to that of non-users. Among 756 participants aged 18–30, 229 reported no tobacco use, 74 used only e-cigarettes, and 453 smoked only combustible tobacco. Survey-weighted analyses adjusted for age, sex, race/ethnicity, and body mass index revealed that exclusive combustible use was associated with significantly elevated white blood cell counts, hemoglobin, hematocrit, mean corpuscular volume, lymphocytes, monocytes, neutrophils, and higher blood lead and cadmium. E-cigarette-only use showed fewer deviations overall but included higher mean corpuscular hemoglobin concentration and lower cadmium, selenium, and methyl mercury relative to non-users. Neither group differed significantly in red blood cell count or C-reactive protein, and inorganic/ethyl mercury and manganese levels were largely unchanged. These findings underscore pronounced hematologic and metal-related alterations in combustible tobacco users and fewer, but not negligible, changes among e-cigarette users. Further research is needed to determine the long-term health implications of exclusive e-cigarette use, including potential impacts on antioxidant micronutrient levels. Full article

Adequate hydration is crucial to an athlete’s health and performance. There is some evidence that the different compositions of various mineral water types may improve exercise performance and affect different biomarkers. The aim was to investigate the consumption of mineral water from the “Topla voda” spring in terms of its safety profile and its effect on body composition and functional and biochemical parameters in professional athletes. During the preparation phase of their mesocycle, 14 male professional handball players underwent a complete sports medical screening exam with a cardiopulmonary exercise test (CPET), blood gas analysis, and oxidative stress marker dynamics taken at four points during the CPET. The athletes were then randomized into two equal groups; the first group consumed mineral water, and the second group consumed tap water. After four weeks, the biochemical analysis and CPET were repeated. Routine analyses showed that the “mineral water” group had increased their mean corpuscular hemoglobin (ANCOVA = 0.050) and mean corpuscular hemoglobin concentration (ANCOVA = 0.001) and had a greater metabolic equivalent of task (MET) value at the end of the test (ANCOVA = 0.049), with no significant changes in the other measured parameters. Consuming “mineral water” appears to be safe, with some potential positive effects compared with tap water, mostly in terms of hemoglobin parameters and exercise tolerance. Full article